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Search For Outstanding Government Workers: HAP Form 1

This document contains a nomination form for the Presidential Lingkod Bayan and Civil Service Commission Pagasa Award, which recognizes outstanding government workers. The form requests information about the nominee such as their name, position, contact details, length of service, and agency. It also includes sections for a nomination write-up with an executive summary and details about the nominee's significant accomplishments in the last three years, their impact, and any other relevant information like awards received. The form requires certification from the nominee, nominator, PRAISE Committee or highest HRMO, and Regional Office Head to attest to the accuracy of the information provided.

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267 views4 pages

Search For Outstanding Government Workers: HAP Form 1

This document contains a nomination form for the Presidential Lingkod Bayan and Civil Service Commission Pagasa Award, which recognizes outstanding government workers. The form requests information about the nominee such as their name, position, contact details, length of service, and agency. It also includes sections for a nomination write-up with an executive summary and details about the nominee's significant accomplishments in the last three years, their impact, and any other relevant information like awards received. The form requires certification from the nominee, nominator, PRAISE Committee or highest HRMO, and Regional Office Head to attest to the accuracy of the information provided.

Uploaded by

gbenjielizon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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HAP Form 1

SEARCH FOR OUTSTANDING


PASTE
GOVERNMENT WORKERS
1 ½” x 2”
(Presidential Lingkod Bayan and Civil Service Commission Pagasa Award)
For Outstanding Work Performance (passport size)

Individual Category Photo here

Presidential Lingkod Bayan Civil Service Commission Pagasa

Name (First Name, Middle Initial, Last Name):       Signature:                
Position (per Service Record):       Gender:       Age:      
Status of Appointment(per Service Record):       Date of Birth:      
Residence Address :             Place of Birth:      
           
Telephone/Cellphone Nos (Active Contact Details):      
Name of Agency:                 Level of Position: 1st Level
nd
Agency Address:       2 Level (Executive Managerial)
      2nd Level 3rd Level (Presidential Appointee)
Region:             Military Elective
Agency Telephone Nos (Active Contact Details):       Email address:      
           
REGIONAL OFFICE HEAD
Name:      
Position:      
Telephone / Cellphone Nos. (Active Contact Details):      
Email address:      
AGENCY HEAD
(see Item VII, A, no. 3 of 2019 Search Guidelines for appropriate Endorsement)
Name:      
Position:      
Agency Address:           
Telephone/Cellphone Nos. (Active Contact Details):      
Email address:      
NOMINATOR
Name:            Position:      
Agency:       Telephone/Cellphone Nos.:      
Agency Address:            
      Email add:      

Additional Information about the Nominee:


Were you a previous HAP Nominee? Yes No What year: _____ What Award Category:
_____ you a previous HAP Semi-finalist?
Were Yes No What year: What Award Category:
_____

_____ you a previous HAP Awardee?


Were Yes No What year: What Award Category:
_____

_____
Nomination Write-up:
(Maximum of 10 pages, A4 size bond paper, Arial #12 font, including executive summary)
Name of Nominee:       Agency:       Division/Unit:      
Position:                  
Length of Service in the Position:       In Government:            

I. Executive Summary

Click here to enter text.

II. Significant Accomplishment/s within the Last Three Years (Description of the Project/Work Accomplished, Strategies/Activities Done and Problems Encountered)
The nomination of heads of offices and agencies including that of the Local Chief Executives should reflect their individual accomplishments)
Click here to enter text.

III. Impact of Accomplishments (Indicate problems addressed, savings generated, people/office benefited and transactions facilitated. Indicate whether or not the accomplishments are
part of the nominee’s regular functions/mandated or the product of his/her/their own initiative. If part of nominee’s regular duties or mandated, justify why the accomplishments are considered
exemplary or extraordinary) For Presidential Lingkod Bayan Category: What was the impact of the extraordinary contribution to national public interest? For CSC Pagasa Category: What was the
impact of the Outstanding contribution to more than one department of the government?

Click here to enter text.

IV. Other Information (Major Awards/Citations Received/Membership in the Organization)

Click here to enter text.

CERTIFICATION
We attest to all facts contained herein and authorize the use of these information for publication. We understand that the Committee on Awards will validate the accuracy of
the information contained in this form and grant our consent to the conduct of a background investigation. Any misrepresentation made by the signatories shall be a ground
for disciplinary action pursuant to applicable Civil Service laws and rules.

Printed Name and Signature:

                       


Nominee Nominator PRAISE Committee/Highest HRMO Regional Office Head

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